Journal of the American Podiatric Medical Association

31 KB

Open AccessArticle

In Appreciation

by Warren S. Joseph

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 520; https://doi.org/10.7547/0970520 - 1 Nov 2007

Viewed by 60

Abstract

Full article

146 KB

Open AccessArticle

2007 Podiatric Practice Survey. Statistical Results

by Al Fisher Associates Inc

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 496-519; https://doi.org/10.7547/0970496 - 1 Nov 2007

Cited by 4 | Viewed by 57

Abstract

This report presents the results of the 2007 Podiatric Practice Survey conducted from April to May 2007 by the American Podiatric Medical Association. A total of 3,043 members responded to this survey. (J Am Podiatr Med Assoc 97(6): 496–519, 2007) Full article

► Show Figures

152 KB

Open AccessArticle

Introduction

by Vickie R. Driver and Matthew G. Garoufalis

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 495; https://doi.org/10.7547/0970495 - 1 Nov 2007

Viewed by 54

Abstract

Full article

95 KB

Open AccessArticle

Grateful

by Christian A. Robertozzi

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 494; https://doi.org/10.7547/0970494 - 1 Nov 2007

Viewed by 53

Abstract

Full article

39 KB

Open AccessArticle

AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE

by Christian A. Robertozzi and Glenn B. Gastwirth

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 493; https://doi.org/10.7547/0970493 - 1 Nov 2007

Viewed by 53

Abstract

Full article

65 KB

Open AccessArticle

Internet Resources for Podiatric Medical Students. A Second Update

by Charles R. Fikar and Scott H. Nguyen

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 486-492; https://doi.org/10.7547/0970486 - 1 Nov 2007

Cited by 2 | Viewed by 53

Abstract

In this article, we present a selection of Internet resources covering subject areas found in standard medical education curricula. Basic sciences and clinical resource sites are explored. We also review Web sites that offer useful materials that can be downloaded to handheld devices [...] Read more.

In this article, we present a selection of Internet resources covering subject areas found in standard medical education curricula. Basic sciences and clinical resource sites are explored. We also review Web sites that offer useful materials that can be downloaded to handheld devices such as palmtop computers, smartphones, and portable media players. We judged the sites based on their potential to enhance the learning process, provide practice questions or study guides for examinations, or aid in the preparation of manuscripts. Medical students, residents, educators, and practitioners of podiatric medicine and surgery who require a quick reference source to either the basic science foundations of podiatric medicine or the clinical side of basic medicine, may find this paper useful. (J Am Podiatr Med Assoc 97(6): 486–492, 2007) Full article

194 KB

Open AccessArticle

Fracture of the Lateral Cuneiform Only. A Rare Foot Injury

by Kalpesh Shah and Anders Odgaard

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 483-485; https://doi.org/10.7547/0970483 - 1 Nov 2007

Cited by 10 | Viewed by 73

Abstract

The three (medial, intermediate, and lateral) cuneiforms and their articulations in the foot are small and relatively well protected from injury. An isolated fracture of the lateral cuneiform is a rare finding. However, isolated injuries may occur as the result of direct trauma. [...] Read more.

The three (medial, intermediate, and lateral) cuneiforms and their articulations in the foot are small and relatively well protected from injury. An isolated fracture of the lateral cuneiform is a rare finding. However, isolated injuries may occur as the result of direct trauma. We report a case of an isolated fracture of the lateral cuneiform that was not seen on initial radiographs and only became evident on plain radiographs 4 weeks after the injury. As each of the cuneiform bones articulates with four other bones in the midpart of the foot, persistent displacement of any fracture (subluxation or dislocation) may result in post-traumatic arthritis. We believe that in suspected cases with negative radiographic findings, further imaging (computed tomography or bone scanning) should be requested. Without the use of additional imaging techniques, many fractures may be misdiagnosed as ankle sprains or foot contusions, and patients may be discharged from the hospital. (J Am Podiatr Med Assoc 97(6): 483–485, 2007) Full article

► Show Figures

Figure 1

399 KB

Open AccessArticle

Lateral Plantar Artery Aneurysm. A Case Report

by Monica Agarwal, Lawrence Harkless, Ryan T. Hagino and Boulos Toursarkissian

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 480-482; https://doi.org/10.7547/0970480 - 1 Nov 2007

Cited by 10 | Viewed by 45

Abstract

We report a case of a true plantar artery aneurysm in an adult. True aneurysms of the inframalleolar vessels are rare. The limited literature on the subject is reviewed, including differential diagnosis and suggested treatment. (J Am Podiatr Med Assoc 97(6): 480–482, 2007) [...] Read more.

We report a case of a true plantar artery aneurysm in an adult. True aneurysms of the inframalleolar vessels are rare. The limited literature on the subject is reviewed, including differential diagnosis and suggested treatment. (J Am Podiatr Med Assoc 97(6): 480–482, 2007) Full article

► Show Figures

Figure 1

609 KB

Open AccessArticle

Leiomyosarcoma of the Foot. A Case Study

by Erin Engel, Michael Butler and Joseph Anain

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 475-479; https://doi.org/10.7547/0970475 - 1 Nov 2007

Cited by 3 | Viewed by 51

Abstract

Leiomyosarcoma is a very rare malignant tumor, with only 28 new cases diagnosed in the United States each year. The prognosis varies, with average 5-year survival of 65%. Although most leiomyosarcomas occur in the lower extremity, there is a paucity in the literature [...] Read more.

Leiomyosarcoma is a very rare malignant tumor, with only 28 new cases diagnosed in the United States each year. The prognosis varies, with average 5-year survival of 65%. Although most leiomyosarcomas occur in the lower extremity, there is a paucity in the literature on these sarcomas in the foot. Only 15 cases of leiomyosarcoma in the foot have been reported in the literature since the mid-1930s. We describe a 31-year-old man with a history of an ingrown toenail and nonhealing pyogenic granuloma. His clinical presentation suggested atypical tissue. Biopsy findings confirmed the diagnosis of spindle cell sarcoma, specifically, leiomyosarcoma. The patient was treated with amputation of the affected hallux and adjuvant therapy. The similar presentations of a pyogenic granuloma and a malignant tumor necessitate a thorough differential diagnosis with even common foot ailments. (J Am Podiatr Med Assoc 97(6): 475–479, 2007) Full article

► Show Figures

Figure 1

73 KB

Open AccessArticle

Foot Health Service Provision by the Australian Department of Veterans’ Affairs. Do Major Podiatric Medical Interventions Reduce the Number of Maintenance Treatments?

by Nicoletta Frescos and Hylton B. Menz

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 469-474; https://doi.org/10.7547/0970469 - 1 Nov 2007

Cited by 1 | Viewed by 48

Abstract

Background: In Australia, the Department of Veterans’ Affairs provides podiatric medical services, including nail surgery and the provision of footwear and orthoses, for war veterans and their dependents. We sought to evaluate whether the provision of these interventions reduces the number of ongoing [...] Read more.

Background: In Australia, the Department of Veterans’ Affairs provides podiatric medical services, including nail surgery and the provision of footwear and orthoses, for war veterans and their dependents. We sought to evaluate whether the provision of these interventions reduces the number of ongoing maintenance treatments. Methods: We used the database of the Department of Veterans’ Affairs to document the number of major podiatric medical interventions (footwear, foot orthoses, nail surgery, and combinations of these interventions) for 1996–1997. The number of maintenance podiatric medical treatments provided in the 2 years before (1994–1996) and 2 years after (1997–1999) these interventions was then compared with a control group that did not receive any major interventions. Results: Compared with the number of treatments in the 2 years before the interventions, in the subsequent 2 years there was a significant increase in the mean ± SD number of maintenance treatments after receiving footwear only (10.4 ± 5.8 versus 12.3 ± 5.0), foot orthoses only (9.4 ± 5.3 versus 12.2 ± 4.6), nail surgery only (10.2 ± 5.8 versus 13.2 ± 4.4), and footwear plus foot orthoses (9.3 ± 6.1 versus 13.3 ± 5.5). In the control group, the mean number of treatments in 1994–1996 and 1997–1999 was 10.8 and 11.8, respectively. Conclusions: Provision of major podiatric medical interventions did not reduce the number of ongoing maintenance treatments received by veterans. However, owing to the inherent limitations of claims data, it is difficult to determine whether this finding is due to the limited efficacy of the interventions or to the policy structure of podiatric medical service provision in the Department of Veterans’ Affairs. (J Am Podiatr Med Assoc 97(6): 469-474, 2007) Full article

► Show Figures

Figure 1

289 KB

Open AccessArticle

Radiographic Study of the Size of the First Metatarso-Digital Segment in Feet with Incipient Hallux Limitus

by Pedro V. Munuera, Gabriel Domínguez and Jose M. Castillo

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 460-468; https://doi.org/10.7547/0970460 - 1 Nov 2007

Cited by 29 | Viewed by 51

Abstract

Background: The aim of this study is to confirm whether the absolute and relative lengths of the first metatarso-digital segment is greater than normal in incipient hallux limitus deformity. Methods: In a sample of 144 dorsoplantar radiographs under weightbearing conditions (94 of normal [...] Read more.

Background: The aim of this study is to confirm whether the absolute and relative lengths of the first metatarso-digital segment is greater than normal in incipient hallux limitus deformity. Methods: In a sample of 144 dorsoplantar radiographs under weightbearing conditions (94 of normal feet and 50 of feet with a slightly stiff hallux), measurements were made of the relative first metatarsal protrusion, the length and width of the first metatarsal and of the proximal phalanx of the hallux, the length of the distal phalanx of the hallux, and the total length of the hallux. Results: There were significant differences between the two types of feet in the relative first metatarsal protrusion, the width of the first metatarsal, the length and width of the proximal phalanx of the hallux, the length of the distal phalanx, and the total length of the hallux. Conclusion: The size of the first metatarso-digital segment could be implicated in the development of hallux limitus deformity. Full article

► Show Figures

Figure 1

279 KB

Open AccessArticle

Effects of Three- or Four-Cortex Syndesmotic Fixation in Ankle Fractures

by Hasan Karapinar, Onder Kalenderer, Levent Karapinar, Taskin Altay, Metin Manisali and Izge Gunal

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 457-459; https://doi.org/10.7547/0970457 - 1 Nov 2007

Cited by 27 | Viewed by 52

Abstract

Background: There is no study comparing how Weber type C ankle fractures treated with either three- or four-cortex syndesmotic fixation affects the structure of the syndesmosis. Methods: In a retrospective study, 46 patients were separated into two groups: 22 patients with three-cortex fixation [...] Read more.

Background: There is no study comparing how Weber type C ankle fractures treated with either three- or four-cortex syndesmotic fixation affects the structure of the syndesmosis. Methods: In a retrospective study, 46 patients were separated into two groups: 22 patients with three-cortex fixation and 24 patients with four-cortex fixation. All of the patients were evaluated clinically and radiographically at least 1 year after removal of the syndesmosis screws. Results: There were three types of joint space obliteration: type 1, synostosis on plain radiographs; type 2, an incomplete bony bridge on magnetic resonance imaging with normal plain radiographs; and type 3, fibrous obliteration of the joint space. Although obliteration of the joint space was significant (P < .005) after four-cortex fixation, radiologic results did not affect the clinical outcome. Conclusion: Four-cortex fixation for diastasis after an ankle fracture should not be a routine procedure. We advocate three-cortex fixation because the clinical results are no different and there is less syndesmotic space obliteration postoperatively. ( Full article

► Show Figures

Figure 1

171 KB

Open AccessArticle

Kinematic and Electromyographic Analysis of the Trunk and Lower Limbs During Walking in Negative-Heeled Shoes

by Jing Xian Li and Youlian Hong

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 447-456; https://doi.org/10.7547/0970447 - 1 Nov 2007

Cited by 24 | Viewed by 55

Abstract

Background: We investigate kinematic adaptation and muscle activities in the trunk and lower extremities of healthy subjects during treadmill walking in negative-heeled sports shoes versus normal sports shoes. Methods: Thirteen healthy female university students participated in the study. We analyzed sagittal-movement kinematics and [...] Read more.

Background: We investigate kinematic adaptation and muscle activities in the trunk and lower extremities of healthy subjects during treadmill walking in negative-heeled sports shoes versus normal sports shoes. Methods: Thirteen healthy female university students participated in the study. We analyzed sagittal-movement kinematics and electromyographic findings from the erector spinae, rectus abdominus, rectus femoris, biceps femoris, tibialis anterior, and lateral gastrocnemius muscles of the dominant side in two shod conditions. Results: Negative-heeled gait is characterized by faster cadence, shorter stride length, increased maximal extension angles in the trunk and hip, increased flexion angle in the knee, larger dorsiflexion in the stance phase, and a larger range of motion of the ankle joint. Negative- heeled gait resulted in a significantly larger integrated electromyographic value, a longer duration of electromyographic activity, and a higher mean amplitude of electromyographic activity in the tibialis anterior, lateral gastrocnemius, and biceps femoris muscles. Conclusions: Negative-heeled gait compared with normal gait places a higher physiologic demand on the tibialis anterior, lateral gastrocnemius, and biceps femoris muscles when walking on a level surface. Thus, negative-heeled shoes could be of value if used in an exercise rehabilitation or training program where inclined walking is not available owing to a flat terrain. Full article

► Show Figures

Figure 1

758 KB

Open AccessArticle

Effect of Cryotherapy Devices in the Postoperative Setting

by Naohiro Shibuya, Theresa L. Schinke, Michael B. Canales and Gerard V. Yu

J. Am. Podiatr. Med. Assoc. 2007, 97(6), 439-446; https://doi.org/10.7547/0970439 - 1 Nov 2007

Cited by 7 | Viewed by 56

Abstract

Background: Sophisticated methods of cryotherapy, such as application of a water-circulating device, have recently been popularized to provide a constant or intermittent therapeutic source in the foot and ankle postoperative setting. In this study, the efficacy and safety of three selected cryotherapy devices [...] Read more.

Background: Sophisticated methods of cryotherapy, such as application of a water-circulating device, have recently been popularized to provide a constant or intermittent therapeutic source in the foot and ankle postoperative setting. In this study, the efficacy and safety of three selected cryotherapy devices (Iceman, EBIce, and Ankle Cryo/Cuff) were investigated. Methods: Each cryotherapy unit, in the coldest setting, was applied over standard surgical dressings in group I, over one layer of Jones compression bandage in group II, and over two layers of Jones compression bandage in group III on four individuals in excellent overall health. The skin temperature was then recorded every 15 min for 180 min in each trial. Results: In group I, the Iceman was the only device that required discontinuation in one subject, and the EBIce and Cryo/Cuff were tolerated in all of the subjects. However, the temperatures in all of the devices continued to decrease at the end of the trials. In group II, all of the cryotherapy devices controlled temperatures between 20°C (68°F) and 30°C (86°F). In group III, no device significantly lowered the initial surface skin temperature. Conclusions: We achieved the safe and effective temperature range when the cryotherapy devices were applied over one layer of Jones compression dressing. The cryotherapy devices resulted in less predicable temperature declination when applied over the thinner surgical dressing. When the devices were applied over two layers of Jones compression dressing, surface skin temperature declination was minimal. Full article

► Show Figures

Figure 1

Journal Menu

Journal Browser

J. Am. Podiatr. Med. Assoc., Volume 97, Issue 6 (11 2007) – 14 articles , Pages 439-520

Further Information

Guidelines

MDPI Initiatives

Follow MDPI